SUMMARY:

• Experienced Business Analysis professional in Healthcare with an ability to withstand on the IT project for implementation, developing, and maintenance.
• Experienced in Electronic Health Record (EHR), EDC, In Form and Confidential implantation.
• Extensive working knowledge and experience in Confidential of HIPAA (EDI X12 - 837, 270/271 and 835), Confidential (ACA), Compliance issues, ICD9, ICD10 and Claims Adjudication process.
• Skillful in performing Gap Analysis; SWOT analysis, GAP analysis and Risk Analysis and creating BRD (Business requirement Document), FRD (Functional Specification Document) and UAT Documents.
• Strong knowledge of Business Intelligence, Data Warehousing, Data Translation, and Analytics concepts with expertise in grasping transaction flows and process management.
• Encompassing knowledge of Software Development Cycle (SDLC) and quality control methodologies such as Waterfall, Agile & Scrum.
• Complete understanding of Use Case diagrams like Class Diagram, Collaborative Diagram, Sequence Diagram
• Exceptional presentation skills including verbal and written skills, and flexibility in adapting to new relevant information and changes
• Proven track record of creating and transforming business requirement into functional requirements and non-functional requirements.
• Expertise in broad range of technologies, including business process tools such as Microsoft Project, MS Access, MS Visio, MS PowerPoint, MS Word
• In-depth understanding of IIBA-Business Analysis Body of Knowledge (BABOK).

TECHNICAL SKILLS:

Database: MS Access, MS SQL Server, DB2, InForm, Confidential, Oracle

Software Development: SDLC, Waterfall, Agile, Scrum

Programming Language: Write - SQL, Read - COBOL, C, C#, PLSQL, SQL

OS: Unix, Mac, Windows, Linux

Diagramming Techniques: UML - Use case, Activity Diagram, Basic Process, Dataflow Diagram

Office Automation: MS Project, MS Word, MS Excel, MS PowerPoint, Outlook, GroupWise

Data Analysis Tool: MS Excel, MS Access, TOAD, Oracle Developer

PROFESSIONAL EXPERIENCE:

Confidential - Tarrytown, NY

Sr. Business Analyst

Responsibilities:

• Lead and manage Clinical Drug Safety Confidential and EDC In Form database implementation.
• Actively perform Elicitation, Gap Analysis for Business Requirement Document (BRD), Functional Requirement Document (FRD) creation.
• Elicited by Interviewing SMEs (MDs, Physicians, Nurses and technologists and Lab Managers)
• Interacted with programmers and developers for elicitation and business guidance.
• Own the BRD process - ensure that thebusinessis providing high quality business requirements and ensure traceability through development and test phases.
• Documented the functional specifications of the solutions.
• Coordinated and managed the hospital data received and entered in centralized database InForm and drug reactions/events in Confidential for analysis and reporting.
• Worked with Clinical Research Coordinator, CRA and Nursing Informatics Director on hospital sides to communicate the key data elements required to capture structured and unstructured data for clinical research.
• Planned and implement MedDRA version management and upgrades as required by the Director of Drug Safety Systems.
• Used SQL queries for clinical safety data extracting and analysis for reporting purposes.
• Followed Confidential and GCP regulations for Drug Safety in Clinical Research.
• Clinical Drug Safety database administrator in charge of quality review of all product configuration changes to Confidential .
• Prepared Test scenarios based on the real Business scenarios obtain from the end user for both internal testing as well as external testing for implementation readiness.
• Written Test Cases after analyzing the Business Requirement Documents and Design Documents in Quality Center. Performed UAT.

Environment: InForm, Confidential, Oracle, SQL, Business Objects Report, SharePoint, MS Visio, MS Office Suite, MedDRA, WHODD, DRUG Database, Clinical Trails, FDA regulations, Confidential and GCP.

Confidential - Jersey City, NJ

Sr. Business System Analyst

Responsibilities:

• Used requirement modeling techniques such as use cases and business process maps to express the conceptual view to Product Managers.
• Prepared Business requirement and Functional requirements document for the various screens, reports and program edits impacted by ICD 9 to 10.
• Performed GAP analysis, requirement and testing for several EDI X12 transactions like 837I/P, 270/271 and 835.
• Created Business Process and detailed Business Requirements for post adjustments, payments and write-off functions for CMS systems.
• Analyzed claim denial reason codes & explanation-of-benefits by studying insurance contracts and created business rules for automating claims appeal letters and dispatch process.
• Created business process flow, rules and requirements for Confidential ts and insurance companies refund process. Communicated complex insurance managed care contract details in simple English to Developers and QA testers.
• Created reporting requirements for account receivables function. Created Data Element Mapping document to help ETL development
• Performed impact analysis to identify Product features areas impacted by implementation of 5010 and ICD 10 conversions.
• Ensured problem solving and solutions reflected understanding of software and hardware integration and functioning.
• Worked with subject matter experts to define User Acceptance Test cases (Scenario). Provided and support of new function updates to Vendors/Partners.

Environment: X12, 4010, 5010, 837, ICD 9, ICD10, DB2, Mainframe, Windows XP, MS Office, MS Visio

Confidential - Morrisville, NC

Sr. Business Analyst

Responsibilities:

• Perform requirements gathering and analysis in an Agile environment in order to provide high quality and detailed requirements, ensuring the closest involvement with, and agreement from, the Infosario Design Program Team.
• Participate in prototype and simulations discussions to provide an accurate, graphical user interface representation, thereby facilitating successful solution design and development.
• Evaluate and communicate strategy to IT and business staff. Resolve conflicting end-user requirements.
• Collaborate with the development team to create functional requirements documentation and business rules.
• Clarify functional requirements in parallel with, solution design and implementation.
• Maintain knowledge of the IT industry; analyze the abilities of tools and technologies, compare with the need of the business, then recommend potential solutions to managers within the business.
• Collaborate with the development team to ensure adherence to business requirements and UI design specifications.
• Develop and support programs for user groups.
• Identify initial Business Case requirements & other pre-project activities (e.g., high-level requirements, project scope, objectives).
• Coach/mentor staff and provide technical leadership.
• Produce and review data/information models and preliminary system architecture.

Environment: NDC, DRUG Database, Clincal Trails, Oracle, SQL, ETL, Informatica, BI Dashboards, Business Objects Report, SharePoint, MS Visio, MS Office Suite, Clear Quest

Confidential - Jersey City, NJ

Sr. Business System Analyst

Responsibilities:

• Developed Use Case diagrams, business flow diagrams, Activity/State diagrams and Sequence diagrams so that developers and other stake holders can understand the business process.
• Gathered Requirements to cover GAPs and added them to the Product Backlog.
• Reviewed requirements from Product backlog and clarified requirements to Development teams.
• Involved in the Analysis of the Business requirements, Functional requirements, test planning, test development, and test execution.
• Supported Project Manager in identifying strategies for Phased Client conversions and in facilitating Product release management.
• Performed UAT of new product features and raised defect tickets as needed.
• Followed up on defect fixes and communicated status to Project Managers and Clients.
• Configured various modules of application - Members Services, Provider services and claim adjudication modules to meet client requirements.
• Created material for Clients and trained the end business and external users of the applications.
• Provided post-implementation support to Clients and triaged help desk questions.
• Helped in designing and implementing deployment process, and thus maintaining the application in post deployment process.
• Assisted System Architects and Quality Assurance Analysts in creation of various tests.
• Developed Test strategy and Test Plan in the different phase like internal testing, external testing and End to End testing.
• Performed and managed testing.
• Worked with subject matter experts to define User Acceptance Test cases (Scenario).

Environment: Windows XP, Microsoft Biz Talk, MS Office, Oracle 10g, REDCAP, MS Visio

Confidential - Livonia, MI

Business Analyst

Responsibilities:

• Organized JAD sessions between key surgeons, Pharmaceutical Research Scientists and Technology team
• Involved in Modeling and developing Business Requirements, Design process and providing Knowledge Transfer to the Support Teams
• Gathered Business Requirements from SME’s and drafted Business Requirement Document (BRD) and presented for approval
• Involved in Clinical Data Gathering, Compendium Mapping, Data Analysis and Management for Physician Office and Hospital Services for Electronic Health Records.
• Documented functional specifications for Confidential Clinical Information, Health Records, Pathology Test Ordering and Results, Physician Requirements and Hospital needs.
• Analyze these Data, Investigate, Approve, Customize, Change management for more innovative and cost effective ways for Hospitals.
• Worked with Physician and Nursing Informatics people to understand their current performing technology and provided inputs in NextGen applications.
• Understood the Business Logic and developed User Interface Specifications.
• Developed Business Flow Diagrams, Dataflow diagrams, Activity diagrams and Use cases diagrams using MS Visio.
• Coordinated between Test team, Development andBusinessteam in clarifying the Functionality issues and Requirement Specification.
• Worked as a Liaison between Technology and the Businessclients to improveBusinessprocesses and Strategies.
• Coordinated UAT with the stake holders for Pilot and Go Live implementations and support.

Environment: MS Excel, Visio, SQL, Outlook, Rational Request Pro, Axure, Water fall, Agile, Adobe Photoshop and other MS Office